Displaying 153261-153270 of 1611142 results.
ID:
153261
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
729201
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153262
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
729203
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153263
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1796079
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153264
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1796083
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153265
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1433879
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153266
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1546894
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153267
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1857913
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153268
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1857917
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153269
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1857925
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153270
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1989506
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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